Organization Active NPI

Ygm International Wound Care Clinic and Mobile Wound Care Services LLC

  • Family Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1609528371
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
YGM INTERNATIONAL WOUND CARE CLINIC AND MOBILE WOUND CARE SERVICES LLC
Practice address
6 Gramatan Ave Ste 620
Mount Vernon, NY 10550-3208
Phone
(914) 484-8762
Fax
(949) 437-8516
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yvonne Allen-MorganNPI 1588277875
Title
FNP
Phone
(917) 328-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6 Gramatan Ave Ste 620
Mount Vernon, NY 10550-3208

Mailing address

6 Gramatan Ave Ste 620
Mount Vernon, NY 10550-3208
Phone (914) 484-8762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615001970 NY Part B Supplier - Clinic/Group Practice 1850770298 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY

National Provider Directory

National Provider Directory

Locations

6 Gramatan Ave
Ste 511
Mount Vernon, NY 10550
Phone (914) 328-2015

6 Gramatan Ave
Ste 620
Mount Vernon, NY 10550
Phone (914) 484-8762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1609528371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 620",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-484-8762",
            "fax_number": "914-665-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 620",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-484-8762",
            "fax_number": "949-437-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YGM INTERNATIONAL WOUND CARE CLINIC AND MOBILE WOUND CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN-MORGAN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "917-328-2015"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.